What Is the Spins and Why Does Alcohol Cause It?

“The spins” refer to a disorienting sensation of movement or spinning, often experienced after consuming alcohol, particularly when lying down. It is a common, temporary effect of intoxication that can leave an individual feeling unsteady and off-balance.

Understanding the Sensation

“The spins” make a person feel as though the room is rotating or they are spinning. This sensation is accompanied by disequilibrium, making it difficult to stand or walk steadily. Nausea is a common symptom, sometimes leading to vomiting. The visual environment might appear distorted, contributing to disorientation and discomfort. These effects signal a disruption to the body’s normal balance mechanisms.

The Science Behind the Spins

Alcohol causes “the spins” by impacting the vestibular system, a network within the inner ear responsible for maintaining balance and spatial orientation. This system includes three fluid-filled semicircular canals, which detect rotational movements. Each canal contains endolymph fluid and a gelatinous structure called the cupula, embedded with tiny hair-like cells. Normally, when the head moves, the endolymph shifts, bending the cupula and its cells, which then send signals to the brain about movement and balance.

Alcohol disrupts this process. When alcohol enters the bloodstream, it quickly diffuses into the endolymph in the semicircular canals. Alcohol is lighter than water, and its presence changes the endolymph’s density. Simultaneously, the cupula absorbs alcohol at a different rate, becoming more buoyant relative to the surrounding fluid.

This density mismatch causes the cupula to float or sink, distorting the signals sent to the brain, even when the body is stationary. The brain receives false signals indicating movement, leading to the sensation of spinning. This effect is particularly noticeable when lying down because visual cues, which usually help compensate for vestibular disturbances, are minimized.

Strategies for Relief and Prevention

To alleviate “the spins,” finding a fixed point of focus can be helpful. Staring at a stationary object in the room, such as a light fixture or a wall, can provide visual grounding and help reduce the feeling of spinning. Changing body position may also offer some relief; for instance, lying on one’s side with one foot firmly on the floor can help the brain reorient itself. Staying hydrated by drinking water can help address alcohol’s diuretic effects and rebalance fluid levels.

Preventing “the spins” involves mindful alcohol consumption. Moderation is key, which includes setting limits on the number of drinks consumed and pacing intake. Alternating alcoholic beverages with water or other non-alcoholic drinks throughout the evening can significantly aid hydration and slow alcohol absorption. Eating a substantial meal before drinking alcohol is also beneficial, as food, especially those rich in protein, fat, and carbohydrates, can slow the absorption of alcohol into the bloodstream. This strategy helps manage blood alcohol levels, reducing the likelihood of experiencing “the spins.”